To provide perspective on how the AAFP evaluates evidence regarding the net benefit of individual preventive services in children, I recently wrote an editorial in American Family Physician that reviewed the guideline process and discussed why there is insufficient evidence to recommend screening children for autism spectrum disorders, high blood pressure, and cholesterol levels. (Note to readers: although I am a member of the Commission on the Health of the Public and Science and verified that this editorial reflects current AAFP recommendations, it should not be considered an official statement of the AAFP.) Here is the bottom line:

Time is a precious clinical resource. Clinicians who spend time delivering unproven or ineffective interventions at health maintenance visits risk “crowding out” effective services. For example, a national survey of family and internal medicine physicians regarding adult well-male examination practices found that physicians spent an average of five minutes discussing prostate-specific antigen screening, but one minute or less each on nutrition and smoking cessation counseling. Similarly, family physicians have limited time at well-child visits and therefore should prioritize preventive services that have strong evidence of net benefit.

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About Me

I am a board-certified Family Physician and Public Health professional practicing in the Washington, DC area. I am also Deputy Editor of the journal American Family Physician and teach family and preventive medicine and population health at Georgetown University School of Medicine, Uniformed Services University of the Health Sciences, and Johns Hopkins University Bloomberg School of Public Health.
I am paid to provide independent editorial and medical consulting services to the American Academy of Family Physicians, John Wiley & Sons, BHS, and WebMD. However, the content of this blog reflects my personal views only, and does not represent the views of any academic institution, publisher, BHS, or the AAFP.